Matsubara Soichiro, Nakajima Makoto, Kaku Yasuyuki, Mukasa Akitake, Ueda Mitsuharu
Department of Neurology, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, JPN.
Department of Neurosurgery, Kumamoto University Hospital, Kumamoto, JPN.
Cureus. 2024 Sep 20;16(9):e69773. doi: 10.7759/cureus.69773. eCollection 2024 Sep.
An 81-year-old man was admitted to our hospital with left hemiplegia after treatment for herpes zoster of the first branch of the right trigeminal nerve. CSF examination revealed an elevated varicella-zoster virus (VZV) antibody index. Brain MRI showed cerebral infarction in the right middle cerebral artery (MCA) territory and vessel wall thickening and enhancing effects at the ipsilateral MCA. Despite the standard treatment, the MCA stenosis progressed with recurrent infarcts. Percutaneous cerebral angioplasty was performed to the distal portion of the right MCA without deterioration. This case can provide a treatment option for refractory progressive VZV vasculopathy.
一名81岁男性在接受右三叉神经第一支带状疱疹治疗后因左侧偏瘫入住我院。脑脊液检查显示水痘-带状疱疹病毒（VZV）抗体指数升高。脑部MRI显示右侧大脑中动脉（MCA）区域脑梗死，同侧MCA血管壁增厚并强化。尽管进行了标准治疗，但MCA狭窄仍进展并伴有反复梗死。对右侧MCA远端进行了经皮脑血管成形术，病情未恶化。该病例可为难治性进行性VZV血管病提供一种治疗选择。
